Individual
DR. JENNIFER L COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD.
Contact information
Practice address
1500 NY-112, BUILDING 4, 2ND FLOOR, PORT JEFFERSON STATION, NY 11776
(631) 928-0188
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5187
(914) 984-2552
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2240
NY
Other
Enumeration date
11/14/2008
Last updated
03/22/2024
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